Evidence map›Paper›PMID 34679418›Full record

ReviewBrain sciences2021

Relevance of CSF, Serum and Neuroimaging Markers in CNS and PNS Manifestation in COVID-19: A Systematic Review of Case Report and Case Series.

Sanjiti Podury, Samiksha Srivastava, Erum Khan, Mihir Kakara, Medha Tandon, Ashish K Shrestha, Kerri Freeland, Sijin Wen, Shitiz Sriwastava

Open access · goldAbstract readReview
In one paragraph

Review in Brain sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 9 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 3 countries.

Sanjiti PoduryArmy College of Medical Sciences, New Delhi 110010, India.
Samiksha SrivastavaDepartment of Neurology, Wayne State University, Detroit, MI 48201, USA.
Erum KhanB.J. Medical College and Civil Hospital, Ahmedabad 380016, India.
Mihir KakaraDepartment of Neurology, University of Pennsylvania, Philadelphia, PA 19104, USA.ORCID 0000-0001-8951-8604
Medha TandonDepartment of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.ORCID 0000-0003-1818-2669
Ashish K ShresthaKathmandu Medical College, Kathmandu 44600, Nepal.ORCID 0000-0002-4614-7783
Kerri FreelandDepartment of Biostatistics, West Virginia University, Morgantown, WV 26506, USA.
Sijin WenDepartment of Biostatistics, West Virginia University, Morgantown, WV 26506, USA.
Shitiz SriwastavaDepartment of Neurology, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV 26506, USA.ORCID 0000-0001-6844-3287
West Virginia University · USB.J. Medical College · INKathmandu Medical College Teaching Hospital · NPUniversity of Pennsylvania · USUniversity of Pittsburgh Medical Center · USWayne State University · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Laura F. Gibson · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

backgroundThe data on neurological manifestations in COVID-19 patients has been rapidly increasing throughout the pandemic. However, data on CNS and PNS inflammatory disorders in COVID-19 with respect to CSF, serum and neuroimaging markers is still lacking.

methodsWe screened all articles resulting from a search of PubMed, Google Scholar and Scopus, using the keywords "SARS-CoV-2 and neurological complication", "SARS-CoV-2 and CNS Complication" and "SARS-CoV-2 and PNS Complication" looking for transverse myelitis, vasculitis, acute disseminated encephalomyelitis, acute hemorrhagic necrotizing encephalitis (AHNE), cytotoxic lesion of the corpus callosum (CLOCC) and Guillain-Barré syndrome (GBS), published between 1 December 2019 to 15 July 2021.

resultsOf the included 106 CNS manifestations in our study, CNS inflammatory disorders included transverse myelitis (17, 14.7%), AHNE (12, 10.4%), ADEM (11, 9.5%), CLOCC/MERS (10, 8.6%) and vasculitis (4, 3.4%). Others were nonspecific encephalopathy, encephalitis, seizures and stroke. Most patients were >50 years old (75, 70.8%) and male (64, 65.3%). Most (59, 63.4%) were severe cases of COVID-19 and 18 (18%) patients died. Of the included 94 PNS manifestations in our study, GBS (89, 92.7%) was the most common. Most of these patients were >50 years old (73, 77.7%) and male (59, 64.1%). Most (62, 67.4%) were non-severe cases of COVID-19, and ten patients died.

conclusionOur comprehensive review of the clinical and paraclinical findings in CNS and PNS manifestations of COVID-19 provide insights on the pathophysiology of SARS-CoV-2 and its neurotropism. The higher frequency and severity of CNS manifestations should be noted by physicians for increased vigilance in particular COVID-19 cases.

Indexed as

ADEMAHNECOVID-19CSF in COVID-19GBSMRI in COVID-19myelitisSARS-CoV-2

Identifiers

PMID34679418
PMCPMC8533964
OpenAlexW3206919456

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.